Organization
JAIME F TAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME F TAN MD (MEDICAL DOCTOR)
(989) 479-3111
Entity
Organization
Contact information
Practice address
233 STATE ST, HARBOR BEACH, MI 48441-1206
(989) 479-3111
Mailing address
233 STATE ST, HARBOR BEACH, MI 48441-1206
(989) 479-3111
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101754354
—
MI
Enumeration date
05/23/2008
Last updated
06/02/2008
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